Waist-to-height ratio, an optimal predictor for obesity and metabolic syndrome in Chinese adults

Shao, Jingjing; Yu, Lili; Shen, Xiaodong; Li, D.; Wang, K.

doi:10.1007/s12603-010-0106-x

Cited by 79 publications

(69 citation statements)

References 26 publications

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“…Several studies on Asian [3], [4], [5], [6] and Caucasian [32], [38] populations have found WHtR to be superior to WC in identifying cases with cardiovascular risk factors. Meta-analyses provide further confirmation of those findings [33], [39].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, controversy remains over which anthropometric parameter best defines obesity and conveys the highest risk of cardiometabolic disturbance. In recent years, waist-to-height ratio (WHtR) has been regarded as the best screening tool for detecting cardiometabolic risk factors, especially in Asians [3], [4], [5], [6]. Some studies have proposed the use of waist circumference (WC) or waist-to-hip ratio (WHR) [7], [8], [9], whereas others advocate their combined use [10], [11].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Various Anthropometric and Body Fat Indices in Identifying Cardiometabolic Disturbances in Chinese Men and Women

Zhang

Deng

et al. 2013

PLoS ONE

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BackgroundAlthough many adiposity indices may be used to predict obesity-related health risks, uncertainty remains over which of them performs best.ObjectiveThis study compared the predictive capability of direct and indirect adiposity measures in identifying people at higher risk of metabolic abnormalities.MethodsThis population-based cross-sectional study recruited 2780 women and 1160 men. Body weight and height, waist circumference (WC), and hip circumference (HC) were measured and body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were calculated. Body fat (and percentage of fat) over the whole body and the trunk were determined by bioelectrical impedance analysis (BIA). Blood pressure, fasting lipid profiles, and glucose and urine acid levels were assessed.ResultsIn women, the ROC and the multivariate logistic regression analyses both showed that WHtR consistently had the best performance in identifying hypertension, dyslipidemia, hyperuricemia, diabetes/IFG, and metabolic syndrome (MetS). In men, the ROC analysis showed that WHtR was the best predictor of hypertension, WHtR and WC were equally good predictors of dyslipidemia and MetS, and WHtR was the second-best predictor of hyperuricemia and diabetes/IFG. The multivariate logistic regression also found WHtR to be superior in discriminating between MetS, diabetes/IFG, and dyslipidemia while BMI performed better in predicting hypertension and hyperuricemia in men. The BIA-derived indices were the second-worst predictors for all of the endpoints, and HC was the worst.ConclusionWHtR was the best predictor of various metabolic abnormalities. BMI may be used as an alternative measure of obesity for identifying hypertension in both sexes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Various Anthropometric and Body Fat Indices in Identifying Cardiometabolic Disturbances in Chinese Men and Women

Zhang

Deng

et al. 2013

PLoS ONE

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“…The WC though proposed to be better than BMI in measuring obesity, because it captures abdominal obesity does not reflect fat mass that may be distributed in non-abdominal tissues-a major demerit of the tool (Lean et al, 1995). The WHtR has been shown to be a good predictor of adiposity-related disorders such as the metabolic syndrome (Shao et al, 2010). It is nonetheless limited because "The WC measurement assesses only visceral adiposity such that dividing it by the subject's height wrongly distributes the fatness localized around the abdomen to the entire body" (Ejike and Ijeh, 2012).…”

Section: Discussionmentioning

confidence: 99%

Obesity Determined by Different Measures and its Impact on the Health-Related Quality of Life of Young-Adult Nigerians

Ejike¹,

Ikwuegu²,

Abalogu³

2015

Asian J. of Clinical Nutrition

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The prevalence of overweight/obesity is rising in developing countries yet their effects on the Quality Of Life (QOL) of Nigerians have not been assessed. This study therefore investigated the prevalence of obesity determined by different tools and their effects on the QOL of young Nigerians. Internationally accepted protocols were employed for the anthropometric diagnosis of obesity while the percentage body fat was estimated using a bioelectrical impedance analysis device. The QOL of the subjects were assessed by subjective self-report. Appropriate statistical analyses were performed on the data generated. A total of 2000 young-adult Nigerians (50% females) were studied. The results show that a total of 17, 3.9, 0.4, 11.9 and 18% of the population were overweight/obese, when BMI, WC, WHpR, WHtR and percentage body fat, respectively, were used as diagnostic criteria. There was a clear female preponderance of obesity in the population. As much as 12.4% of the population were completely dissatisfied with their QOL and the QOL of the subjects was negatively affected by overweight/obesity irrespective of the diagnostic used. The QOL was worse in subjects with visceral obesity and very high percentage body fat compared to those with generalized obesity. Only the anthropometric measures of obesity were positively correlated with QOL in this population. The prevalence of overweight/obesity in this population is lower than previous reports from similar populations in Nigeria but not reports from outside Nigeria. The impact of obesity on QOL appears to be driven by the functional impairment and physical discomfort that arise from it.

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“…Indeed, lean body mass is negatively associated with all-cause mortality (35). When this fact is coupled with the knowledge that WHtR is a predictor of MetS (36), it seems reasonable to suggest that, for a given WHtR value, a higher hip circumference may not indicate an increased health risk. Addressing this issue could have important implications for determining the manner in which WHtR and hip circumference are used to predict metabolic disorders in both research and the clinical settings.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Metabolic Syndrome, Cardiometabolic Risk Factors and Inflammatory Markers in a Tehranian Population: The Tehran Lipid and Glucose Study

et al. 2012

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Objective The aim of this study was to investigate the relationship between the high sensitivity C-reactive protein (hsCRP), interleukin-6 (IL-6) and homocysteine (Hcy) levels and cardiometabolic risk factors in subjects with and without metabolic syndrome (MetS) in a sample of the Tehranian population. Methods In this cross-sectional study, 365 individuals aged ! 19 years were randomly selected from among participants of the Tehran Lipid and Glucose Study (TLGS). The serum levels of IL-6, hsCRP and Hcy were determined using the Enzyme Linked Immunosorbent Assay (ELISA) method. Results Of the 365 subjects, aged a mean of 46.1±16.1 years, MetS was present in 160 (43.8%) individuals. The levels of hsCRP, Hcy and IL-6 were higher in the subjects with MetS. A gradual and significant increase in the levels of hsCRP was found in association with increasing numbers of MetS components after adjusting for sex and age. A strong linear augmentation in the hsCRP levels was observed as the numbers of MetS components increased. Additionally, an increase of 0.40 was observed in the hsCRP levels in association with increases in each component of MetS adjusted for age and sex. The best predictors for the levels of hsCRP, IL-6 and Hcy in the subjects with MetS were hip, waist to height ratio (WHtR) and height, respectively. Conclusion Hip and WHtR are significant predictors of elevated levels of hsCRP and IL-6 associated with MetS, respectively.

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Waist-to-height ratio, an optimal predictor for obesity and metabolic syndrome in Chinese adults

Abstract: The results indicated that WHtR might be an optimal anthropometric predictor of metabolic syndrome risk factors and the cut-point of WHtR was approximately 0.50 in both genders of Chinese adults.

Cited by 79 publications

References 26 publications

Comparison of Various Anthropometric and Body Fat Indices in Identifying Cardiometabolic Disturbances in Chinese Men and Women

Comparison of Various Anthropometric and Body Fat Indices in Identifying Cardiometabolic Disturbances in Chinese Men and Women

Obesity Determined by Different Measures and its Impact on the Health-Related Quality of Life of Young-Adult Nigerians

The Relationship between Metabolic Syndrome, Cardiometabolic Risk Factors and Inflammatory Markers in a Tehranian Population: The Tehran Lipid and Glucose Study

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